Economic analysis of the cost savings after implementation of antibiotic policy in hospital
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Дата
2011-10
Автори
Manova, M.
Savova, A.
Stoimenova, A.
Angelovska, B.
Petrova, G.
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Издател
Централна медицинска библиотека, МУ София / Central Medical Library - MU Sofia
Резюме
The antibiotic policy is an essential part of the hospital pharmacy
activities. It leads to decrease in the microbial resistance, optimisation of the medicine
utilisation, and cost savings. The goal of the study is to analyse the results
of implementation of antibiotic policy on the medicine utilization and related cost
savings in a city hospital in Sofi a. The study is a comparative retrospective and prospective
analysis of the antibiotic prescribing and cost of therapy, before and after
the introduction of the antibiotic policy. There were gathered and systematized 2582
prescriptions for hospitalized patients in 3 hospital departments (surgical, urology,
and internal wards). For the evaluation of the most often prescribed combination,
the sample was made for 30 patients from each unit. The selection of patients was
made at random for the most common diagnoses in the studied wards. The antibiotic
utilization was also measured in monetary terms and cost savings were calculated
for the period after the antibiotic policy introduction. The comparison of the
cost of antibiotic therapy in urology, surgical and internal wards for 2004 and 2005,
after the introduction of AB policy showed that in all three studied wards signifi cant
savings were realized. Reduction of costs in 2005 compared to 2004 was in total 26
832 BGN (28.48%). Total expenditures on medicines in the studied hospital were
447 810 BGN for 2004 and 396 659 BGN for 2005. Savings of 51 151 BGN were
realized, which is a signifi cant value and a signifi cant proportion of the total costs
(28.48%). Analysis of the results of the implementation of antibiotic drug policy confi
rmed that the optimization of drug administration leads to positive economic results.
It also confi rms the usefulness of measurement of utilization and cost saving,
especially in hospital wards with high cost services. The antibiotic policy should be
an obligatory part of drug policy in the hospitals with scarce resources. Measuring
the impact of antibiotic policy implementation is a useful tool for optimization of the
general hospital medicines policy and realization of cost savings. It gives possibility for practical solutions on medicines utilization optimization. Introduction of antibiotic
policy in hospitals leads to the reduction of their usage, saves money and improves
therapeutic options.
Описание
Address for correspondence:
Manoela Manova, M. Pharm., Ph.D.;
Department of Social Pharmacy;
Faculty of Pharmacy;
Medicla University - Sofia;
2 Dunav str.;
1000 Sofia;
tel. (+3592 923 658 9);
tel. (+3592 987 9874);
e-mail: manoela_manova@yahoo.com
Ключови думи
antibiotics, DDD, cost reduction, hospital
Цитирания
M. Manova, A. Savova, A. Stoimenova, B. Angelovska and G. Petrova. Economic analysis of the cost savings after implementation of antibiotic policy in hospital - Acta medica bulgarica , 38, 2011, No 2, 89-98.